The Forum urges WHO to engage in a global consultation with indigenous peoples and others on its participatory research guidelines and seek the advice of the Permanent Forum on the guidelines.
The Permanent Forum repeats its call for an end to the criminalization of indigenous midwives as expressed in the recommendations contained in paragraphs 49 and 50 of its report on its seventeenth session (E/2018/43-E/C.19/2018/11) and urges States to respect the right of indigenous peoples to maintain their traditional health practices in accordance with article 24 of the Declaration.
The Permanent Forum recognizes the urgent need to increase commitment to the health of Indigenous women globally, as their health needs are often underserved and they lack culturally appropriate care, including as a result of the criminalization of traditional childbirth practices. The Forum urges Member States and United Nations entities to collaborate in developing programmes and allocating funds that prioritize the health of, and midwifery services for, Indigenous Women; and in increasing the visibility of the situation with regard to the health of Indigenous women through more disaggregated data. The Forum calls for the revision of discriminatory laws affecting Indigenous women. The Forum invites the World Health Organization (WHO), the United Nations Population Fund and the United Nations Children’s Fund to partner in identifying and documenting good practices of culturally appropriate health interventions from their work at the country level, including supporting Indigenous women and girls in exercising their sexual and reproductive rights. The Forum requests that the entities compile a comprehensive progress report, to be submitted at the 2025 session of the Forum.
The Permanent Forum takes note of the sixth call for proposals of the Indigenous Peoples Assistance Facility of IFAD, which is focused on advancing indigenous peoples’ biodiversity conservation and sustainable management for adaptation and resilience to climate change. The Permanent Forum urges IFAD to facilitate direct access to climate financing to indigenous peoples’ communities and organizations through the Facility and the Adaptation for Smallholder Agriculture Programme, and encourages Governments and donors to support those initiatives.
The Permanent Forum also calls upon WHO to work in close cooperation with the Forum in establishing a programme on non-communicable diseases, with special attention to indigenous peoples and diabetes. The Forum recognizes the findings of the Expert Meeting on Indigenous Peoples, Diabetes and Development, held in Copenhagen on 1 and 2 March 2012, and its outcome document entitled “The Copenhagen call to action” and recommends that those outcomes be considered when establishing the programme.
Drawing attention to the dramatic changes in the lifestyles of indigenous peoples and the ensuing deterioration of indigenous health due to malnutrition and obesity, including record high rates of diabetes and related illnesses such as hypertension, heart attacks, kidney failure and blindness, the Permanent Forum calls upon WHO, UNICEF, the United Nations Development Programme (UNDP), the World Bank, WFP and FAO to develop joint strategies to address the problem of diabetes and related non-communicable lifestyle illnesses. Given the alarming prevalence of diabetes among indigenous peoples, the Permanent Forum calls upon WHO and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to establish a systematic working relationship with the Permanent Forum and the Inter-Agency Support Group to exchange experiences on health initiatives in the area of treatment and prevention of the illness, especially given their role in the implementation of the Millennium Development Goals.
The Permanent Forum recommends that States and the United Nations system, with particular attention to the activities of the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO), introduce indigenous youth perspectives into existing youth policies and plans, including the five-year action agenda of the Secretary-General to address health issues. In addition, there should be a distinct focus on indigenous youth by improving participation in decision-making and by introducing and including mental health services for young people, with particular efforts to address suicide among indigenous youth.
The Permanent Forum encourages parties to the Convention on Biological Diversity to ensure that progress is made with regard to institutional arrangements that guarantee human rights-based approaches to the Kunming-Montreal Global Biodiversity Framework, with the full and effective participation of Indigenous Peoples. In addition, the Forum calls upon the Conference of Parties to request its relevant subsidiary bodies to convene an ad hoc expert group meeting, with the participation of experts of the three United Nations mechanisms on Indigenous Peoples, to address the conflation of Indigenous Peoples with other groups of society and to develop specific actions to avoid such conflation.
The Forum recommends that the Special Rapporteur on the right to health pay special attention in his work to the right to health as contained in treaties between indigenous peoples and States.
The Permanent Forum invites UNFPA, in collaboration with the Forum, to identify good practices of culturally appropriate intervention models from its work in developing countries that provide support to indigenous peoples, in particular women and girls, in exercising their health and reproductive rights, and to report to the Forum on those models by 2018.
Calling attention to the high rates of suicide among indigenous youth in some countries, the Permanent Forum reiterates its call for States and relevant national aboriginal health bodies to convene a meeting to assess the root causes of indigenous youth suicide and to formulate preventive strategies. The Forum reiterates its call on UNICEF and WHO to convene a meeting on youth suicide.
The Permanent Forum commends UNICEF and UNFPA for their work to combat female genital mutilation practices and urges them to continue their efforts with indigenous peoples and their communities.